Medical network - on March 21, the wind blows to the northeast of two votes. On March 15, who in liaoning province development planning commission, issued the public medical institutions and drug procurement in liaoning province (trial) ", "two votes" detailed rules for the implementation opinions, which, on June 1, 2017 the entire province all levels of public medical institutions (including into the basic drug system management of grassroots medical institutions, village clinics) drug purchase all implement the "two votes", encouraging other procurement for medical institutions "two votes". The general view is that this will cause the liaoning province medicine circulation industry reshuffle. But according to 39 medicine you know, the two votes for liaoning drugs than expected, the influence of the small and medium-sized wholesale industry. 

 

"Has no effect on our company, the company do is over-the-counter (OTC) market." Liaoning zhonglian pharmaceutical co., LTD., chairman of Liu Xiquan for 39 pharmaceutical jun said, he says the words that just be OTC market the present situation of the pharmaceutical companies "irrelevant". Liaoning province of the two votes, its scope of implementation in all levels of provincial medical institutions. 

 

Learned from liaoning province food and drug administration website that the current pharmaceutical wholesale enterprises in liaoning province 343, pharmacy number 3319. According to the domestic 1.3 pharmaceutical wholesale enterprises, 32 provinces autonomous region, municipality directly under the central government, two special administrative region shall not count towards the number of pharmaceutical wholesale enterprises) calculation, an average of more than about 400 wholesale enterprise, a province, liaoning province pharmaceutical wholesale company quantity is not centralized, compared with 1590 pharmaceutical wholesale enterprises in guangdong province, liaoning not much more. 

 

Based on the present situation, the implementation of the two votes, in the liaoning pharmaceutical wholesale companies, relatively limited. "Have more influence on pharmaceutical distribution company, a small distribution company will be big mergers or closure. For wholesale company, the influence is relatively limited, even if they don't do the hospital market, do some OTC varieties supply pharmacy, survival is not a problem." Shenyang s group chief executive zhen-lin wang said. Pure pin zhen-lin wang believes that the pharmaceutical business corporate influence is relatively small; Pharmaceutical company which mainly to drugs through impact is bigger. 

 

The data shows, at present our country has 1.3 pharmaceutical wholesale enterprises, such a large number of pharmaceutical wholesale enterprises, mostly small and medium-sized companies, fierce competition, the market is relatively chaos. Many view of drug prices artificially high due to the drug circulation links too much, to standardize the distribution order of the drug, contain drug prices artificially high, countries have been pushing a lot of measures, two votes is one of them. The personage inside course of study is generally believed that by two votes can make medicine circulation industry in the new round of reshuffle. Previously, the CFDA safety supervision department Mr Li has publicly said that exit 1 m 1.3 wholesale enterprises in China, the remaining 3000 May be the ideal situation. Nowadays, with the implementation of the two votes in liaoning province, liaoning medicine circulation industry will appear, ebb tide remains to be seen. 

 

Attached: the public medical institutions in liaoning province drug purchase (trial) "two votes" detailed rules for the implementation 

 

(draft) 

 

For deepening the reform of medical health system, standardize the order of drug circulation, reduce circulation, reduce the false high drug prices, enhance people's health reform achievements of the acquisition, on the basis of the general office of the central committee of the communist party of China Under the state council on forwarding < deepening medical and health system reform leading group of the state council on further promoting the deepening medical and health system reform experiences of the several opinions > notification (hall word [2016] 36) ", "on further reform and improve the use policy for producing and distributing medicines of several opinions (countries do hair [2017] no. 13), reform of the state council to handle the printing on drug procurement in the public medical institutions in the implementation of the implementation of the two votes on notice (the reform do hair [2016] no. 4) spirit, promoting in the public medical institutions to carry out the" two votes ", in the drug purchase these implementing rules are formulated. 

 

First, the overall goals 

 

In-depth implementation of the CPC central committee and the state council and the provincial party committee, the provincial government on major policy decisions, we will deepen reform of the medical and health system to carry out "two votes" for the gripper, continue to deepen reform of pharmaceutical circulation field. To regulate the drug circulation order, ensuring the drug supplies for the principle, through the implementation of the "two votes" in drug purchase, the compression of the intermediate links, reduce the inflated prices, promote the healthy development of the pharmaceutical industry. To strengthen the supervision and administration of medical market, crack down on money laundering "ticket", the illegal behavior of tax evasion and other drug distribution, purify the market environment, ensure drug safety for the people. 

 

Second, the definition of "two votes" 

 

"Two votes" refers to a pharmaceutical production enterprise to open an invoice of enterprises and circulation enterprises to open an invoice of medical institutions. 

 

Pharmaceutical production enterprise of the integration of trade and industry or group of enterprises to establish sales only wholly owned or holding of this enterprise (group) pharmaceutical commercial company (national only 1 business companies), foreign drug domestic general agent (the only one domestic general agent) can be regarded as production enterprise. 

 

Medicine circulation group within the enterprise to a wholly owned subsidiary (holding) or a wholly owned subsidiary (holding) transfers between drug is not seen as a vote, but most allow open an invoice. 

 

Pharmaceutical production, circulation enterprises should be in accordance with the principle of fairness, lawfulness, honesty and credit reasonable price levels. Encourage public medical institution and pharmaceutical producing enterprises direct settlement drugs and drug manufacturers and circulation enterprises and settlement distribution costs. 

 

In response to the outbreak of natural disasters, major, major events and the patient (rob) save the special circumstances, such as emergency purchasing drugs or national pharmaceutical reserve drugs, can special treatment. 

 

Circulation of narcotic drugs and the psychotropic drugs of category I still according to the regulations of the state. 

 

Third, scope of implementation 

 

The provincial public medical institutions at all levels (including into the basic drug system management of grassroots medical institutions, village clinics) drug purchase all implement the "two votes", encouraging other drug purchase of medical institutions to implement the "two votes". 

 

Fourth, implementation time 

 

June 1, 2017 the entire province all levels of public medical institution launched drug purchase "two votes". 

 

Fifth, strict implementation of public "two votes" 

 

(a) in strict accordance with the related provisions of the "two votes" to participate in the activities of drug centralized purchasing and distribution. Implement the "two votes" is a pharmaceutical production enterprise to participate in the activities of drug centralized purchasing in liaoning province access, pharmaceutical production enterprises to participate in the activities of drug centralized purchasing in liaoning province to implement the "two votes" commitment, while in the data shall be submitted to the government procurement center of liaoning province pledge, at the same time must be specified in the purchase contract the requirements of the "two votes", and in the process of actual distribution is completely in accordance with the requirements for the "two votes" to set up new distribution relations, improve the supply coverage, according to the principle of integration of county, township and village classified increase drug supply security work. 

 

(2) improve the drug procurement procurement contract management. Public medical institution and pharmaceutical production, circulation enterprises to purchase and sale contract, must make it clear in the procurement contract the requirements of the "two votes". 

 

(3) promote the reform of pharmaceutical sales and distribution management system. Production enterprises as a guarantee of product quality and supply of the first, to establish drug manufacturers to guarantee the quality of medicines, distribution service main body responsibility, make production enterprises in drug distribution a responsibility, right, the unity of the closed-loop system. Establishing and perfecting distribution companies access, examine, questioning, withdrawal, punishment and restriction mechanism and credit system, provincial, city classification regulation, regular check, and take out working mechanism. Open to distribution each link with the whole information. Establishing drug delivery area records and, according to the principle of local administrator, all bear the drug distribution enterprises within their respective jurisdictions to take the initiative to declare to the district municipal health family planning authorities for the record. 

 

(4) strictly enforce provisions on the administration of drug distribution bills. 

 

1. Sell drugs pharmaceutical production, circulation enterprises, shall be in accordance with the relevant provisions of the invoice management of the special invoices for value-added tax or VAT invoice (hereinafter generally referred to as the "invoice"), the project complete to fill in. Sell drugs also shall, in accordance with the drugs management quality management specification (drug GSP) asked the attached with the cargo of peers, purchase of the invoice (as well as the listing, similarly hereinafter), annul name shall be just and with goods flow direction in order, payment, amount is consistent. 

 

2. Buy drugs, medicine circulation enterprises should take the initiative to ask for bill to the pharmaceutical production enterprise, the invoice must be issued by the pharmaceutical producing enterprises. When the arrival of the acceptance, should verify invoices, the supplier with goods peer list with the actual purchase drugs varieties, specification, quantity, etc., check in and establish purchase drugs acceptance record, do vote, cargo, zhang. For invoice with with the cargo list do not conform to the requirements of the relevant provisions of the state, or invoice, along with the goods is not consistent between the peer list and purchase drugs, may not check incoming. Drug distribution in invoice and related bills, save shall, in accordance with the relevant regulations. 

 

3. The public medical institutions in drug check incoming, must be identified ticket, cargo, and account agreement shall be put in storage, use, not only to the distribution of drug circulation enterprises demand, verify invoices, also should be required to circulation enterprise stamp issued by the manufacturer to provide purchase invoice copy, two invoices medicine circulation enterprises name, drug batch number and other relevant content to confirm each other, and as a public medical institution pay drug payment vouchers, included in the financial records management. Each drug varieties to provide at least once a purchase invoice copy. Encourage conditional area to use electronic invoice, through the information means to verify "two votes". 

 

Sixth, strengthen the "two votes" to carry out the organization guarantee and the supervision and inspection 

 

(a) around, each related department must stand in the height of the country and the people's fundamental interests, is conducive to promoting the development of medicine industry transformation and upgrading from the big picture, to unify thought and action to the central decision-making, according to the division of responsibility, initiative, to take on responsibilities, close cooperation, to promote the "two votes" the ground work. To strengthen policy interpretation, propaganda and guidance, easy to understand, vivid image, the purpose of the extensive publicity and implementation of the "two votes", the practice and meaning of positive response to social concern, to promote the "two votes" and create a good atmosphere for public opinion. 

 

(2), the relevant departments in all localities should actively for the "two votes" fall to the ground to create favorable conditions. Municipal, county health department of family planning according to the relevant provisions of the "two votes" policy, as a whole do a good job in "two votes" drug distribution system and the county, township and village integration of organic combination, is not in conformity with the two votes within their respective jurisdiction system policy to adjust the revision. To break the interests barrier, break regional protection, speed up the cleaning and abolished in enterprise registration, drug purchase, cross-regional operation, choice of distributors, chain operation, as well as hinder the healthy development of the medicine circulation industry of unreasonable policies and regulations. All local governments to support the network system, good reputation for quality, delivery capability of large pharmaceutical circulation enterprises to carry out local drug distribution work. Support the construction of regional medical logistics park, and distribution center, promote medicine circulation enterprises, warehousing and transport resources effectively integrate, multiple cooperating warehouse distribution, allow the medicine circulation enterprises take different positions, in the provincial trans-regional use in this enterprise eligible drug warehouse. , according to the principle of distance, linkage between urban and rural areas, encourage support regional drug distribution of urban and rural integration, through rural drug distribution "last one kilometer", as a special remote township (town) or village, traffic inconvenience, pharmaceutical, medical and health institutions distribution allows medicine circulation enterprises on the basis of the "two votes" to open a pharmaceutical sales invoice, in order to ensure effective supply of the basic drugs. 

 

(3) all relevant departments should strengthen coordination, according to the division of responsibility, initiative, to take on responsibilities, cooperate closely, make supervision cohesion, form the joint effort, to strengthen the supervision and inspection, the implementation of the "two votes" work conscientiously do a good job in the implementation of the "two votes". 

 

Provincial medical institutions and drug and medical consumables centralized purchasing work leading group office shall be responsible for the organization, coordination, implement the drug distribution, when to organize the formulation of purchasing documents, to implement the "two votes" as the prerequisite, to strengthen drug centralized purchasing implement supervision and administration of the "two votes" work; To perfect the medical institutions, pharmaceutical, and medical consumables production and distribution enterprise of pharmaceutical sales credit system, timely publish to the society pharmaceutical sales credit record, does not according to the provisions of the "two votes" requirements of the pharmaceutical production enterprise, enterprise in circulation, disqualified from participation in drug centralized procurement and distribution of liaoning province, and included in the liaoning province pharmaceutical sales credit record; Provincial, city and county level regulation, to strengthen the inspection supervision and deviation rectification, and strengthen the medical institutions and drug production and distribution enterprise performance of the purchasing contract and clean the supervision of the procurement contract situation, establishing pharmaceutical and medical consumables production and distribution enterprise interview, exit, punishment and restriction mechanism. Family planning, traditional Chinese medicine health administrative departments should strengthen the public medical institution to perform supervision and inspection of the "two votes", lax to line (card), "two votes" to carry out the default payment for goods is not in place, and have made no medical institutions to criticized, until the responsibility shall be investigated for relevant personnel. 

 

Food and drug supervision and administration of pharmaceutical production, circulation enterprises to carry out supervision and inspection, in addition to check the enterprise to carry out the "measures for the supervision and administration of the drug circulation and the drug supply quality management norms" and other relevant provisions, and shall implement the "two votes" is the enterprise incorporated in the scope of inspection. To the enterprise in violation of the "two votes" requirements, the food and drug regulatory department shall timely notify the province drug centralized purchasing agency. Suspected of a crime, transferred to public security organs in accordance with the law. 

 

The tax authorities should strengthen the pharmaceutical production, circulation enterprises and medical organizations of invoice management, strengthen inspection of tax evasion in accordance with the law. 

 

The provincial government procurement center to carry out the pharmaceutical producing enterprises to participate in the activities of drug centralized purchasing in liaoning province access to review. Of production enterprises, medical institutions and distribution enterprise faces the society for distribution relationship established, accept social supervision. Improve the drug and the supervision and administration of medical consumables distribution information platform, statistical analysis of drugs and medical consumables purchase on a regular basis, distribution, collection, evaluation, etc., to do online monitoring. 

 

All relevant departments should make full use of information technology means, strengthen the supervision and inspection, the implementation of the "two votes" establish a sound regulation of cross-sectoral, cross-regional joint response and coordination mechanism, promoting drug centralized purchasing platform (public resources trading platform), drug tracing system and credit system construction platform such as connectivity, data sharing, information related to realize interconnection and mutual recognition of regulatory standards and interflow, the processing results. 

 

To promote and strengthen information disclosure, fair show, widely accept social supervision.